Parks and Recreation DepartmentNeighborhood and Outreach Services
COMMUNITY GARDEN PROGRAM FY2011-2012
Garden Name__________________________________________________________ Applicant Name: ________________________________New_____Renewal _______ Address (P.O. Boxes not accepted): ________________________________________ City: _____________________________________Zip:__________________________ Telephone Day #______________________Evening #__________________________ Email Address: _________________________________________________________ I request a wheel chair accessible garden plot, if available.
I’m renewing and if selected in the lottery, I would like to return to my current plot.
If e-mail address is provided above, I agree to receive any notices regarding thisagreement by electronic communication.
__________ Initial here.Parties:
This agreement is made and entered into on ______________, 2011`, between
__________________________________ hereinafter referred to as “Gardener”, and the
Parks and Recreation/Community Services Community Garden Program hereinafter
referred to as “Program Operator”.
Subject to the terms and conditions below, Program Operator allows the use toGardener, for organic gardening purposes only, the premises known as Plot No. _____ located at _________________ Garden, Santa Barbara, California.
The term of this use agreement shall begin on
October 1, 2011
, and shallcontinue for a period of
months thereafter, expiring on
September 30, 2012.Fees:
On signing this agreement, Gardener shall pay to Program Operator the sum of$64 (resident) $75 (non-resident) as use fee for the term of this agreement.